Wellstar Paulding Nursing Ctr - Dallas Nursing Home

General Information

UPDATE
Federal Provider Number
115258
Provider Name
WELLSTAR PAULDING NURSING CTR
Provider Address
600 WEST MEMORIAL DRIVE
DALLAS, GA 30132
Provider Phone Number
7704454411
Provider SSA County
810
Provider County Name
Paulding
Ownership Type
Non profit - Corporation
Number of Certified Beds
182
Number of Residents in Certified Beds
176
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PAULDING MEDICAL CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1978-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10313
Reported LPN Staffing Hours per Resident per Day
0.89773
Reported RN Staffing Hours per Resident per Day
0.49403
Reported Licensed Staffing Hours per Resident per Day
1.39176
Reported Total Nurse Staffing Hours per Resident per Day
3.49489
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01903
Expected CNA Staffing Hours per Resident per Day
2.23128
Expected LPN Staffing Hours per Resident per Day
0.59208
Expected RN Staffing Hours per Resident per Day
0.85686
Expected Total Nurse Staffing Hours per Resident per Day
3.68022
Adjusted CNA Staffing Hours per Resident per Day
2.31278
Adjusted LPN Staffing Hours per Resident per Day
1.25846
Adjusted RN Staffing Hours per Resident per Day
0.43081
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82791
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-03-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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